Individual provider · Type 1 NPI

Emma Jean Clark, LMP

Massage Therapist · Mountlake Terrace, WA

NPI number 1508917055 Active

Practice location

21907 64th Ave. W, Suite # 110
Mountlake Terrace, WA 98043

Fax (425) 673-1597

Mailing address

2445 140th Ave. NE, Suite B-105
Bellevue, WA 98005

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00028464 (WA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1508917055

Emma Jean Clark, LMP's National Provider Identifier is 1508917055, issued on Jan 12, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mountlake Terrace, WA. The record was last updated on Apr 28, 2009.